Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,495.41 / $14,791.08	Facility		$66.07	$5,495.41	$14,791.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,949.84	Professional		$870.96	$1,047.13	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,862.09	Professional		$741.31	$977.24	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Facility		$954.99	$1,258.93	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32